NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

The nurse is assessing a client with a suspected myocardial infarction. Which of the following findings would be MOST concerning to the nurse?

Correct Answer: D

Rationale: New-onset ventricular arrhythmias are life-threatening in myocardial infarction, indicating myocardial irritability and risk of sudden cardiac death, requiring immediate intervention. Chest pain relieved by rest (
A), mild hypertension (
B), and tachycardia (
C) are less urgent.

Question 2 of 5

The nurse is administering iron by the $\mathrm{Z}$ track method. Which technique would the nurse utilize to prevent tracking of the medication?

Correct Answer: D

Rationale: The $0.2 \mathrm{ml}$ of air that would be administered after the medication with an intramuscular injection would allow the medication to be dispersed into the muscle. In the answer A, the muscle is small. Answer C is an incorrect procedure, and answer B doesn't help with prevention of tracking.

Question 3 of 5

An elderly client with peripheral vascular disease has been using a heating pad. The first sign of thermal injury related to the use of a heating pad or a hot compress is:

Correct Answer: B

Rationale: Redness is the earliest sign of thermal injury due to vasodilation and inflammation. Swelling, blanching, and blisters appear later.

Question 4 of 5

The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?

Correct Answer: A

Rationale: Tremulousness is a classic sign of hypoglycemia, resulting from the body's sympathetic response to low blood sugar.

Question 5 of 5

Which of the following conditions is mammography used to detect?

Correct Answer: B

Rationale: Mammography is a screening tool used to detect breast tumors or cysts. It does not diagnose pain, edema, or epilepsy. Reduction of Risk Potential

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